血管内血栓切除术后的临床结果在不同的分类方法中
Fucheng Jiang1,2, Wenpeng Yin3, Jianwen Jia1
1Department of Neurosurgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Heliyon
|August 28, 2023
概括
滴送 (DS) 是急性缺血性中风 (AIS) 的安全有效治疗方法,与其他方法相比,没有增加并发症风险. 这项研究为选择患者运输策略提供了指导.
科学领域:
- 神经学 神经学
- 干预神经病学 干预神经病学
- 紧急医疗 紧急医疗
背景情况:
- 急性缺血性中风 (AIS) 需要及时干预以获得最佳结果.
- 机械血栓切除术是AIS的关键治疗方法.
- 存在不同的处理和运输策略,包括滴水和船舶 (DS),非滴水和船舶 (非DS) 和母舰 (MS).
研究的目的:
- 评估AIS的滴水和船舶 (DS) 战略的有效性和安全性.
- 将DS与非滴水和船舶 (非DS) 和母舰 (MS) 治疗方法进行比较.
主要方法:
- 62名AIS患者进行机械血栓切除术的回顾性审查.
- 患者被分为三个组:DS,非DS和MS.
- 时间指标的比较 (开始至沟,开始到针头,IV血栓溶解到穿刺) 和多式CT特征.
主要成果:
- 基线特征或手术后变量在各组之间没有显著差异.
- 多发性综合症组的发病时间比MS更长 (395分 vs 244分).
- DS组的初发至主要中风中心时间比非DS更短 (90分钟 vs 463分钟).
- 多发性硬化症组的针时间比DS更短 (151.2分 vs 111.8分).
结论:
- 滴水和船 (DS) 是AIS的安全和有效的治疗方式.
- 与非DS和MS相比,DS不会增加术后并发症或死亡率的风险.
- 这些发现为选择AIS患者最佳运输方式提供了参考.
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